Evaluation of the Relationship Between Air Pollutants and Emergency Department Admissions with Childhood Asthma

被引:2
作者
Sogutlu, Yakup [1 ]
Altas, Ugur [2 ]
Altintas, Tugba [3 ]
Altas, Zeynep Meva [4 ,5 ]
Akova, Sevgi [1 ]
Ozkars, Mehmet Yasar [2 ]
机构
[1] Univ Hlth Sci, Umraniye Training & Res Hosp, Pediat Emergency Med Clin, TR-34764 Istanbul, Turkiye
[2] Umraniye Training & Res Hosp, Dept Pediat Allergy & Immunol, TR-34764 Istanbul, Turkiye
[3] Uskudar Univ, Dept Hlth Management, TR-34662 Istanbul, Turkiye
[4] Maltepe Dist Hlth Directorate, TR-34841 Istanbul, Turkiye
[5] Istanbul Medipol Univ, Int Sch Med, Dept Publ Hlth, TR-34810 Istanbul, Turkiye
关键词
asthma; children; emergency department; air pollutants; VISITS; POLLUTION; EXPOSURE; CHILDREN;
D O I
10.3390/diagnostics14242778
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: This study aims to evaluate the relationship between the number of visits to a pediatric emergency department due to asthma attacks and air pollutants. Methods: In this ecological study, all pediatric patients who visited the pediatric emergency department of a tertiary hospital in Istanbul with asthma between January 2016 and December 2023 were included. The effect of air pollution on the number of patient visits was analyzed using a negative binomial regression model. Results: Based on the negative binomial model, a one-unit increase in SO2 leads to a 0.020-unit decrease in the logarithm of the number of patient visits (p < 0.05). A one-unit increase in NO leads to a 0.040-unit increase in the logarithm of the number of patient visits (p < 0.05). According to factor analysis, as the levels of NO, NOx, PM2.5, NO2, and PM10 in the air increase, the number of patient visits also increases; however, as the level of SO2 increases, the number of patient visits decreases. Conclusions: Families should be informed about environmental exposures for disease management of children with asthma. The confounding factors may also play a role in SO2 level and the decrease in admissions due to asthma. Further studies are needed in this regard.
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页数:9
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